Health Home Plus Care Manager

Overview

The Health Home Plus Care Manager is responsible for Health Home Plus qualified individuals in the following categories : HIV / AIDS, SMI, and Adults. The Case Manager is responsible for case retention activities, including enrolling new clients to maintain a caseload at 15 or as determined by DOH. Adjustments to case load will be made according to DOH recommendations. Provide follow-up services according to the standards or care and tracking for their caseload

Responsibilities

• Be individually responsible for client retention.
• Maintain full responsibility for caseload including assessments, HARP Eligibility assessments, Care Plans, HML’s, timely documentation; Conduct home visits and fieldwork on an ongoing basis and in accordance with the DOH guidance on minimum standards for Health Home Plus; Conduct diligent search activities for missing clients, Case conference with and obtain necessary records from all primary agencies that are involved with the clients.
• Provide appropriate referrals and ensure follow-up by monitoring the quality of services, verifying and ensuring client participation; Provide education and supportive counseling to ensure that clients understand and follow up with services to which they are referred
• Ensure that ALL needed services are addressed / delivered for each client monthly without limiting services to a single provision of care; services should be prioritized and specific to clients’ needs and not prescriptive.
• Ensure every client on their caseload is CONTACTED AND BILLED FOR each month and provide weekly tracking of billing to their supervisor.
• Document the billable and non-billable services in the required software within 24 hours. Be specific and include comprehensive notes for every service provided.
• Track accurate and up-to-date case lists including closures in a timely manner
• Engage referrals within 24 hours of receipt; Complete enrollments in a timely manner, track, and submit immediately to the Care Manager supervisor assigned
• Participate in the agency quality improvement and professional development programs, attending internal and external training courses and committees

Administrative Responsibilities :

Other Responsibilities :

Qualifications